Organization
FORTANASCE & ASSOCIATES SPORTS MEDICINE AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G FORTANASCE DPT (OWNER PRESIDENT)
(626) 446-7027
Entity
Organization
Contact information
Practice address
1275 FOOTHILL BLVD, LA VERNE, CA 91750
(909) 593-1200
(909) 593-1899
Mailing address
671 NAOMI AVENUE, ARCADIA, CA 91007
(626) 446-7027
(626) 446-4723
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
00000
CA
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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